Preprint Short Note Version 1 Preserved in Portico This version is not peer-reviewed

Pain or Pressure? Delineating between Primary and Secondary Headache

Version 1 : Received: 25 December 2023 / Approved: 26 December 2023 / Online: 26 December 2023 (04:02:18 CET)

How to cite: Davis Jr., V.; Desai, D.; Malafi, M.E. Pain or Pressure? Delineating between Primary and Secondary Headache. Preprints 2023, 2023121908. https://doi.org/10.20944/preprints202312.1908.v1 Davis Jr., V.; Desai, D.; Malafi, M.E. Pain or Pressure? Delineating between Primary and Secondary Headache. Preprints 2023, 2023121908. https://doi.org/10.20944/preprints202312.1908.v1

Abstract

Headache is considered to be one of the most common causes of medical treatment and evaluation worldwide in both acute and outpatient settings. It is the most common neurological symptom seen worldwide affecting all genders, ages, ethnicities, and socioeconomic levels. It’s impact is noted in educational decline in school-aged children and decreased productivity through sick leave in adults. Its overall burden is well documented in well-resourced countries but limited data is seen low resourced countries. While many underlying causes bring about secondary headaches, primary headaches and more specifically migraines have been more widely explored. Migraines have a distinct criterion that is inclusive of one day duration (4 hours to 7 days, unilateral distribution, nausea and vomiting and disability as a few examples. However, migraines can vary and proper documentation through a migraine diary can help to guide treatment. Management of migraines can vary. Lifestyle modification is a key factor in the overall prevention and reduction of triggers in migraines. In addition to this, pharmacotherapy can be given in a tier-based approach based on overall severity and frequency of the migraine. Interventions have progressed from botox injection and have seen the advent of new medications such as nasal sprays to novel formulations of pre-existing drug formulations. Nonetheless, there is great room for further studies of headaches and migraines. Research specifically in low-resource countries can prove to beneficial.

Keywords

Headache; Migraine; Management; Intervention

Subject

Medicine and Pharmacology, Internal Medicine

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